Service Coordinator-CHC

About the role

As a Service Coordinator, you will assist participants who qualify for Medicaid in obtaining the long-term services and support they need as required by the Community Health Choices (CHC) agreement. You will contribute to the care coordination process by performing face-to-face assessments to identify, evaluate, coordinate, and manage participant's needs, including physical health, behavioral health, social services, and long-term services and support, as well as telephonic follow-up.

Responsibilities

• Identify, coordinate, and assist participants in accessing needed LTSS services and other Covered Services, as well as non-covered medical, social, housing, educational, and other services and supports
• Lead the participant-centered planning and service (PCPS) delivery process and oversee its implementation
• Inform participants about available required needs assessments, the PCSP process, service alternatives, and service delivery options
• Inform participants of their rights and assists with the complaint, grievance, and DHS Fair Hearing process
• Collect additional necessary information, including participant preferences, strengths, and goals, to inform the development of the PCSP
• Conducts reevaluation of level of care annually or more frequently as needed following CHC requirements
• Works with the participant to complete activities necessary to maintain eligibility

Requirements

Bachelor’s Degree in social work, psychology, or related field is preferred; 3+ years of social service (in lieu of a Bachelor’s degree) or related healthcare experience that includes:

• Working with people who need personal care services
• Conducting face-to-face visits in the home or nursing facility focused on needs assessments and monitoring delivery of services
• Knowledge of the home and community-based service system and how to access/arrange for services
• Maintaining contact and relationships with healthcare professionals on a regular cadence, providing consistent and timely feedback to members' needs and requests

2 to 3 years of case management experience

Valid and current driver’s license with at least 6 months of a clean driving record; active auto insurance

Skills

• Computer proficient with working knowledge of MS Office, specifically Excel
• High-speed internet access
• Dedicated home workspace free from distractions and conducive to HIPAA and Government compliance regulations

Benefits

• Flexible work solutions, including remote options and hybrid work schedules
• Competitive pay
• Paid time off, including holidays and volunteer events
• Health insurance coverage for you and your dependents on Day 1
• 401(k)
• Tuition reimbursement

Pay

Eligible Service Coordinators may receive a $3,000 sign-on bonus, paid in two installments after hire (available to external candidates only; not eligible for those employed by AmeriHealth Caritas within the six months preceding their most recent application). Base pay is described as competitive.

Schedule

Monday through Friday, 8:30 AM – 5:00 PM EST; up to 75% travel in the community throughout Wayne County and surrounding areas in PA. Flexible remote/hybrid options available per the benefits package.